PROP – Property Inspection Report
Inspection Form 2021-001: Property PROPERTY INSPECTION REPORT (Monthly ) (Special ) (Emergency ) Division of Property - Department of Property and Procurement Account No. Owner of Business /Contact Person : Name of Business/Tradename: Type of Business Telephone No.: Physical Address: Area: Regular Rental Payment: $ PART I: LICENSE / CERTIFICATES / PERMITS / ETC. Type Photo () Expiration Date Yes () No () N/A () Business License No.: Trade Name Registration Fire Safety Certificate DOH Food Handlers Permit DPNR Special Waste Permit (Biohazard) DPNR Air Pollution Permit (Standby Generator) DPNR Air Pollution Permit (Industrial Dryers) DPNR Air Pollution Permit (Mechanic Shop with spray booth) DPNR Used Oil Permit DPNR/WMA Tire Waste Permit Other: PART II: PROPERTY SUBLEASING, IMPROVEMENT AND CONDITIONS Subleasing/Improvements: Photo () Yes () No () N/A () Subleasing(s) approved by the Commissioner of Property & Procurement? Total subleasing rent, if applicable: $ If Subleasing(s) is not approved by the Comm. of Prop. …
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Inspection Form 2021-001: Property PROPERTY INSPECTION REPORT (Monthly ) (Special ) (Emergency ) Division of Property - Department of Property and Procurement Account No. Owner of Business /Contact Person : Name of Business/Tradename: Type of Business Telephone No.: Physical Address: Area: Regular Rental Payment: $ PART I: LICENSE / CERTIFICATES / PERMITS / ETC. Type Photo () Expiration Date Yes () No () N/A () Business License No.: Trade Name Registration Fire Safety Certificate DOH Food Handlers Permit DPNR Special Waste Permit (Biohazard) DPNR Air Pollution Permit (Standby Generator) DPNR Air Pollution Permit (Industrial Dryers) DPNR Air Pollution Permit (Mechanic Shop with spray booth) DPNR Used Oil Permit DPNR/WMA Tire Waste Permit Other: PART II: PROPERTY SUBLEASING, IMPROVEMENT AND CONDITIONS Subleasing/Improvements: Photo () Yes () No () N/A () Subleasing(s) approved by the Commissioner of Property & Procurement? Total subleasing rent, if applicable: $ If Subleasing(s) is not approved by the Comm. of Prop. & Proc., then submit the total subleasing rent here: $ If there is/are new improvement(s) made to the property: Is it as per Lease Agreement? If “no”, then see Memorandum accompanying this report. Inspection Form 2021-001: Property INTERIOR CONDITION Building(s) Condition: Photo () Excellent () Good () Poor () N/A () Structure Fixtures Paint Building(s) Sanitary Conditions: Photo () Yes () No () N/A () If garbage or debris is present, is it: briefly, or is disposal in accordance with WMA Regulations? If Hazardous materials are present: Is use conducted in accordance with WMA Regulations? Is disposal conducted in accordance with WMA Regulations? EXTERIOR CONDITION Building(s) Condition: Photo () Excellent () Good () Poor () N/A () Structure Fixtures Paint Yard/Grounds Condition: Photo () Excellent () Good () Poor () N/A () Fence Beautification Mowed grass Safe parking area Yard/Grounds Sanitary Conditions: Photo () Yes () No () N/A () If garbage or debris is present, is it: briefly, or is disposal in accordance with WMA Regulations? If Hazardous materials are present: Is use conducted in accordance with WMA Regulations? Is disposal conducted in accordance with WMA Regulations? Inspection Form 2021-001: Property PART III: VIOLATIONS Violations Photo () Lease Provision Yes () No () N/A () Failure to present: Current Business License (must be posted) Paragraph 11.03 - Compliance with laws Trade Name Registration (must be posted) Paragraph 11.03 - Compliance with laws Fire Safety Certificate Paragraph 11.03 - Compliance with laws DOH Food Handler Permit Paragraph 11.03 - Compliance with laws DPNR Special Waste Permit (Biohazard) Paragraph 11.03 - Compliance with laws DPNR Air Pollution Permit (Standby Generator) Paragraph 11.03 - Compliance with laws DPNR Air Pollution Permit (Industrial Dryers) Paragraph 11.03 - Compliance with laws DPNR Air Pollution Permit (Mechanic Shop w/spray booth) Paragraph 11.03 - Compliance with laws DPNR Used Oil Permit Paragraph 11.03 - Compliance with laws DPNR/WMA Waste Tire Permit Paragraph 11.03 - Compliance with laws Other: Environmental Faults: Oil spill Paragraph 4.01 - Improvements and Paragraph 11.03 - Compliance with laws Sewer Paragraph 4.01 - Improvements and Paragraph 11.03 - Compliance with laws Improper Vehicle Storage Paragraph 4.01 - Improvements and Paragraph 11.03 - Compliance with laws Improper Storage of Used Tires Paragraph 11.03 - Compliance with laws Garbage or Debris Paragraph 4.01 - Improvements and Paragraph 11.03 - Compliance with laws Other: Inspection Form 2021-001: Property Violations (…continued) Photo () Lease Provision Yes () No () N/A () Building Maintenance/Construction/Structures: Unauthorized use of Property Paragraph 1.02 - Permitted Use Failure to make improvements Article IV - Improvements Unauthorized structure Article IV - Improvements Broken windows/doors Paragraph 4.05 - Repairs by Lessee Other: Landscaping/Beautification: Overgrown vegetation Paragraph 4.01 - Improvement Paint needed Paragraph 4.01 – Improvements and Paragraph 4.05 - Repairs by Lessee Other: MEMORANDUM (If needed) Inspector: (Print Name) (Sign) (Date)